This study is a critical narrative review of school-wide student wellbeing programmes. Its main research question is “how is student support mediated within school-wide wellbeing programmes in health professions education? Our aim is to identify the different aspects of student support systems and how they interact with each. We searched major databases, with 15 research articles included in the final analysis. Our review highlights the key role played by tutors in student support and the recurring tension of confidentiality within these systems.